H.R. 3603House119th Congress (2025-2027)In Committee

Andrew Kearse Accountability for Denial of Medical Care Act of 2025

Introduced May 23, 2025

AI-Generated Summary

Updated November 24, 2025 at 12:20 AM UTC

The Andrew Kearse Accountability for Denial of Medical Care Act of 2025 requires federal law‑enforcement officers, prison staff, and U.S. Marshals to promptly provide medical care to anyone in their custody who shows signs of medical distress, such as breathing difficulties. It makes negligent failure to do so a criminal offense punishable by fines and up to one year in prison, and it gives state attorneys general the ability to bring civil actions for harms caused. The bill also creates Inspector General investigations, a confidential complaint system, and mandatory training on medical‑emergency response for covered officials.

Key Provisions

  • Defines “covered officials” as federal law‑enforcement officers, Bureau of Prisons staff, and U.S. Marshals employees.
  • Makes it a crime for a covered official to negligently fail to obtain or give immediate medical care to a person in federal custody who shows medical distress (including breathing problems) when the official is present, if that failure causes unnecessary pain, injury, or death.
  • Sets penalties of a fine, up to one year in prison, or both for violating the requirement.
  • Allows a state attorney general (or a designated state official) to sue in federal court for civil relief if a state resident is harmed by such a violation.
  • Requires the appropriate Inspector General to investigate any alleged failure and, if negligence is found, to refer the case to the Attorney General for prosecution.
  • Mandates that each employing agency establish a confidential complaint process for reporting incidents and provide training to covered officials on how to give immediate medical assistance.

Legislative Activity

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HouseIntro Referral Latest Action

Referred to the House Committee on the Judiciary.

May 23, 2025

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HouseIntro Referral

Introduced in House

May 23, 2025

HouseIntro Referral

Referred to the House Committee on the Judiciary.

May 23, 2025

Bill Text

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Introduced in HouseIssued May 23, 2025

I

119th CONGRESS

1st Session

H. R. 3603

IN THE HOUSE OF REPRESENTATIVES

May 23, 2025

Ms. Pressley (for herself, Mr. Carson, Mr. Johnson of Georgia, Ms. Kelly of Illinois, Ms. Lee of Pennsylvania, Ms. Norton, Ms. Ocasio-Cortez, Mrs. Ramirez, Ms. Schakowsky, and Ms. Tlaib) introduced the following bill; which was referred to the Committee on the Judiciary

A BILL

To require Federal law enforcement and prison officials to obtain or provide immediate medical attention to individuals in custody who display medical distress.

1.

Short title

This Act may be cited as the Andrew Kearse Accountability for Denial of Medical Care Act of 2025.

2.

Medical attention for individuals in Federal custody displaying medical distress

(a)

In general

Chapter 13 of title 18, United States Code, is amended by adding at the end the following:

251.

Medical attention for individuals in Federal custody displaying medical distress

(a)

Definitions

In this section—

(1)

the term appropriate Inspector General, with respect to a covered official, means—

(A)

the Inspector General of the Federal agency that employs the covered official; or

(B)

in the case of a covered official employed by a Federal agency that does not have an Inspector General, the Inspector General of the Department of Justice;

(2)

the term covered official means—

(A)

a Federal law enforcement officer (as defined in section 115);

(B)

an officer or employee of the Bureau of Prisons; or

(C)

an officer or employee of the United States Marshals Service; and

(3)

the term medical distress includes breathing difficulties.

(b)

Requirement

(1)

Offense

It shall be unlawful for a covered official to negligently fail to obtain or provide immediate medical attention to an individual in Federal custody who displays medical distress in the presence of the covered official, if the individual suffers unnecessary pain, injury, or death as a result of that failure.

(2)

Penalty

A covered official who violates paragraph (1) shall be fined under this title, imprisoned for not more than 1 year, or both.

(3)

State civil enforcement

Whenever an attorney general of a State has reasonable cause to believe that a resident of the State has been aggrieved by a violation of paragraph (1) by a covered official, the attorney general, or another official, agency, or entity designated by the State, may bring a civil action in any appropriate district court of the United States to obtain appropriate equitable and declaratory relief.

(c)

Inspector General investigation

(1)

In general

The appropriate Inspector General shall investigate any instance in which—

(A)

a covered official fails to obtain or provide immediate medical attention to an individual in Federal custody who displays medical distress in the presence of the covered official; and

(B)

the individual suffers unnecessary pain, injury, or death as a result of the failure to obtain or provide immediate medical attention.

(2)

Referral for prosecution

If an appropriate Inspector General, in conducting an investigation under paragraph (1), concludes that the covered official acted negligently in failing to obtain or provide immediate medical attention to the individual in Federal custody, the appropriate Inspector General shall refer the case to the Attorney General for prosecution under this section.

(3)

Confidential complaint process

The Inspector General of a Federal agency that employs covered officials shall establish a process under which an individual may confidentially submit a complaint to the Inspector General regarding an incident described in paragraph (1) involving a covered official employed by the Federal agency (or, in the case of the Inspector General of the Department of Justice, involving a covered official employed by a Federal agency that does not have an Inspector General).

(d)

Training

The head of an agency that employs covered officials shall provide training to each such covered official on obtaining or providing medical assistance to individuals in medical distress.

.

(b)

Technical and conforming amendment

The table of sections for chapter 13 of title 18, United States Code, is amended by adding at the end the following:

251. Medical attention for individuals in Federal custody displaying medical distress.

.